HomeMy WebLinkAboutAgenda Report - August 7, 1985 (86)fill1 P-16yr-IL 1'SC+LTING
4]GU,5T 7, 1985
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COMMUNICATIONS
(CITY CLERK)
ABC LICr'NSE
_
APPLICATIONS
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4]GU,5T 7, 1985
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APPLICATION FOR ALCOHOLIC OVERAGE LICENSE(5)
To: Department of Alcoholic Beverage Control
1901 Broadway
Sacramento, Calif. 95818 Stockton
(DISTRICT SERVING LOCATION)
The undersigned hereby applies for
licenses described as follows:
1. TYPE(S) OF LICENSE(S)
FILE NO.
On Sale Beer & Wine
Fa'ting Place
Applied under Sec. 24044
Effective Dote: 1:��xx i- z a-
RECEIPT NO.
GEOGRAPHICAL
CODE 3902
Date
Issued
2. NAME(S) OF APPLICANT(S)
Temp. Permit
r ffective Dote74 -4�` )� X;t
OMNI PIZZA Et3TEPPRISES, INC.
Karen Jones, President
3. TYPE(S) OF TRANSACTION(S)
FEE
LIC.
TYPE
Daniel . Jones: V. Pres/Se,—:.
New LicensiL
$300.00
41
Annual Fee
195.00
4. Name of Business
Pizza Works
5. location of Business -Number and Street
1110 `Id. Kett leman Lane
—
City and Zip Code County
Lodi 9524:; &1n Joaqui);
TOTAL
$
4015.010
6. If Premises Licensed,
Show Type of License NO
8. Mailing Address (if different from 5) -Number and Street
4 ame
9. Have you ever been convicted of a felony?
7. Are Premises Inside
City Limits? 'ies
;'Temp) (Perm)
10. Have you ever violated any of the provisions of the Alcoholic
Beveroge Control Act or regulations of the Department per-
taining to the Act?
11. Explain a "YES" o'qswer to items 9 or 10 on on attachment which shall be deemed part of this application. r'
i.
12. Applicant agrees (a) that any manager employed in on -sale licensed. premises will have .all the qualifications of a licensee, and s:
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tz, fappitconr agrees ta) tnat any manager employed in on -sale licensed premises will have all the qualifications of a licensee, and
(b) that he will not violate or cause :tr permit to be violated any of the provisions of the Alcoholic Beverage Control Act.
13. STATE OF CALIFORNIA County -of _Seri _ iaac�u _ - Date
-----------------------------------------
Under penalty of perjury, each person whose signal-,• appears below, <erti6es and says: ill He is he applicant, or one of the opplicon+s, or o :e<ut; •.e
officer of the applicant corporation, named in the foregoing applicotion, duly authorized to make this aopiicotion on its beholf; (2; that he hos rood the fore-
going application and knows the contents thereof and that each and all of the statements therein mode ore true. (3; that no person other than the oppt;cont
or applicants hos any direct or indirect interest in the applicant's or applicantsbusiness :o be conducted under the kc W,sl for wh;ch this-PPlicotion mode;
(4) that the transfer application or proposed trans(., ;s not made to satisfy the payment of o loan or to fulfill n agreement en: Bred into more than n nets 'K;
days preceding the day on which the transfer opplicotion is fled with the Deportment or to gain or eo.bli,h o preference to or for on:- creditor of tronsferor or to
defraud or injure any creditor of tronsferor, (3) that the `ronsfer application may be w;thdrown by either the applicant or the licensee with no resulting fiob;Gty to
the Deportment.
14. APPLICANT
SIGNHERE.-----------------------------------------------------=--------------------------------------------------r
APPLICATION BY TRANSFEROR
15. STATE OF CALIFORNIA County of ------- 5 n _c[ui'r1 ----------------- Date ----------- 7-16-i45
Under penalty of perjury, each person whose signoture appears below, certifies and says (1; He s the hcensee. or an e ecutive officer of the corporate licensee.
nomad to the (orrgo;ng transfer application, duly authorized to mike this trunsfee application on its behalf; (21 that he hereby makes opplicotion to .:.rend.,
oil interest in the attached license(%) described below and to tronsf.r some to the applicant and: or location ;nd;coted an the upper portion of this opplic.,i.n
form, if such tronsler is approved by the Director; (3) that the transfer application or proposed f,onsfer isso
not mode to tisf the t of a I
y payment oars os to fvfflY
sur
n agreement ened ;nto m re than ninety days preceding the day on which the transfer application
4 fled with the Deportment or to gain o e,tobl;,h o
- preference to or for any creditor of Transferor or to defraud or ini.— or y creditor of tronsfero.; !4! that rhe ,ronsfer oppiico+;on ay be withdrawn by .;,her he
a PPl:c nt
o I;the ...... with ,.•
no .Mina epa
Iiobilil, o the Drtr.
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16. Name(s) of Licensee(s) 17. Signc'ture(s) of Licensee(s) 18. License Number(S)
19. Location Number and Street City and Zip Code County
Do Not Write Below This Line; For Department Use Only
Attached: ❑ Recorded notice,
❑ Fiduciary papers,
❑
------------------------------------ --------------- _COPIES MAILED -------------- _@_-_I � :` :)------------------
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❑ Renewal: Fee of -----------Paid at ----------------------------- Office on ------------------Receipt No. ______-__________..__--
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